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Community orientated treatment compared to psychiatric hospital orientated treatment

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  • Hoult, John
  • Rosen, Alan
  • Reynolds, Ingrid

Abstract

One hundred and twenty patients presenting for admission to a state psychiatric hospital were randomly allocated into two groups. Control patients received standard hospital care and after-care. Experimental patients were not admitted if this could be avoided; instead they and their relatives were provided with comprehensive community treatment and a 24-hour crisis service. Patients with a primary diagnosis of alcohol or drug dependence, organic brain disorder or mental retardation were excluded. Most patients were suffering from psychotic disorders--more than half specifically from schizophrenia. During the 12 months study period 96% of the control patients were admitted--51% more than once. Of the experimental patients 60% were not admitted at all and only 8% were admitted more than once. Control patients spent an average of 53.5 days in psychiatric hospital, experimental patients spent an average of 8.4 days. Community treatment did not increase the burden upon the community, was considered to be significantly more satisfactory and helpful by patients and their relatives, achieved a clinically superior outcome, and cost less than standard care and after-care. The ingredients differentiating comprehensive community-based care from prevailing methods of psychiatric care are discussed.

Suggested Citation

  • Hoult, John & Rosen, Alan & Reynolds, Ingrid, 1984. "Community orientated treatment compared to psychiatric hospital orientated treatment," Social Science & Medicine, Elsevier, vol. 18(11), pages 1005-1010, January.
  • Handle: RePEc:eee:socmed:v:18:y:1984:i:11:p:1005-1010
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    Cited by:

    1. Elzbieta Slupczynska-Kossobudzka & Ludmila Boguszewska, 1999. "Effects of Community Mobile Team Intervention in the Drewnica Hospital Catchment Area. 1. Patient Outcome," International Journal of Social Psychiatry, , vol. 45(3), pages 207-215, September.
    2. Roberto Mezzina & Daniela Vidoni, 1995. "Beyond the Mental Hospital: Crisis Intervention and Continuity of Care in Trieste. A Four Year Follow-Up Study in a Community Mental Health Centre," International Journal of Social Psychiatry, , vol. 41(1), pages 1-20, March.
    3. Louise M. Dunn, 2001. "Mental Health Act Assessments: Does a Community Treatment Team Make a Difference?," International Journal of Social Psychiatry, , vol. 47(2), pages 1-19, June.
    4. Yu, Yu & Liu, Zi-Wei & Li, Tong-Xin & Li, Yi-Lu & Xiao, Shui-Yuan & Tebes, Jacob Kraemer, 2020. "Test of the stress process model of family caregivers of people living with schizophrenia in China," Social Science & Medicine, Elsevier, vol. 259(C).

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